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By selecting 'Yes' I confirm that;

  1. I am a UK Income or Capital Gains Taxpayer.
  2. I have read this statement and want the Keswick to Barrow Walk Charity to reclaim the tax detailed below (on the next page), given on the date of payment.
  3. I understand that if I pay less Income Tax / or Capital Gains tax in the current tax year than the amount of Gift Aid claimed on all of my donations it is my responsibility to pay any difference.
  4. I understand the charity will reclaim 25p of tax on every £1 that I have given.
Please Note:- To comply with Her Majesty's Revenue & Customs (HMRC) Gift Aid Audit Requirements we will retain this record for 6 years